Professional Documents
Culture Documents
Volume 4 Issue 6, September-October 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
INTRODUCTION
Dysmenorrhea is extract from the Greek word, “dys” means include early menarche, younger age, low BMI, prolonged or
difficult or painful, “meno” means month and “rrhea” means aberrant menstrual flow, pre- menstrual somatic complaints,
flows. Dysmenorrhea is defined as difficult menstrual flow or somatization, psychological disturbances, pelvic infections
painful mensturation. It is an ordinary gynecological and smoking3. Dysmenorrhea can decrease productivity,
problem among adolescent ladies which is severe enough to creativity and work performance due to serious daily stress
keep them from functioning at home, college or work place and social and economic loss. Beginning a few hours
for a day or a two every month. Dysmenorrhea is preceding immediately after Mensturation, Dysmenorrhea
characterized into two that is primary or spasmodic and typically last 48-72 hours and include symptoms such as
secondary or congestive. Primary Dysmenorrhea arises lower abdominal cramps, back pain, nausea, vomiting,loss of
when the menstrual pain is not related to any macroscopic appetite, fatigue and nervousness.4
pelvic pathology and having the normal ovulatory cycle.
Although the exact cause of the primary Dysmenorrhea is The prevalence of Dysmenorrhea among adolescence varies
not known. This condition is mainly seen in the adolescence country to country. Various studies in India revels that the
population1. Although the etiology of primary Dysmenorrhea prevalence of Dysmenorrhea varies from 33% -77.67%,
is not completely understood symptoms are generally however the true incidence and prevalence of the
associated with increase the production of prostaglandins in Dysmenorrhea are not clearly establishing in India.5 A study
the endometrium with menses, and approximately 80% of conducted to find the incidence of Dysmenorrhea among
patients can experience pain relief by taking prostaglandins 1648 adolescent girls in selected institute of Karnataka. In
inhibitors including proponics and phenamates2 that the incidence of Dysmenenorrhea found to be 87%, of
these 46.69% have severe pain during Mensturation. Among
A variety of physiological environmental and behavioral those 63% of girls experiences Dysmenorrhea before the
factors are reported to influence Dysmenorrhea. The onset of bleeding and 37% experience after the onset of
confounding factors that have been referred frequently bleeding6.
@ IJTSRD | Unique Paper ID – IJTSRD33446 | Volume – 4 | Issue – 6 | September-October 2020 Page 1285
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
A study was conducted on menstrual knowledge, primary university Ambala district, Haryana by convenience
Dysmenorrhea and evaluated level of pain and treatment sampling. The study participants were selected by purposive
modalities among adolescent girls in Nigeria. The knowledge sampling technique with sample size of 201 student nurses.
and practice of 150 randomly selected healthy Nigerian
adolescent girls were studied. The findings revealed that the Ethical consideration was taken from M.M university
level of knowledge of adolescence is less regarding institutional ethical committee. Written informed consent
menstruation and Dysmenorrhea. There is a need for was also obtained from all the participants before starting
education and school nurses should be able to assist the the study. Knowledge on dysmenorrhea was assessed using
7
adolescence in management of primary Dysmenorrhea. structured knowledge questionnaire which includes 24
multiple choice items covering content of introduction,
A descriptive study was conducted to evaluate the types and definition, sign & symptoms, causes, types & management of
frequency of problems related to menstruation and the effect dysmenorrhea with maximum possible score of 24. Impact of
of these problems on daily routine among 198 adolescent dysmenorrhea was assessed by using 20 statement impact
girls in New Delhi. Data was collected by personal interview. ratting scale which was scored as mildly affected (0),
Results showed that 67 were suffering from Dysmenorrhea moderately affected (1) and severely affected (2). Both were
and daily routine of 60 girls was affected due to bed rest and validated by 7 experts from the various nursing fields.
decrease the appetite, 18% had to miss a class and 25% had
to abstain from the work8. After Formal administrative approval from the principal of
M.M college, mullana ambala was taken, introduction to self
From the above studies and statistical report it is showed and nature of study was explained to the nursing students
that adolescent girl and women do not have sufficient and were assured about the confidentiality of their
knowledge regarding Dysmenorrhea and its management responses after establishment of rapport, tool for knowledge
and Dysmenorrhea shows an impact on their daily activities. questionnaire and impact rating scale was administered.
Aim of the study is to assess the knowledge regarding
Dysmenorrhea and its impact on Nursing girl students in Data were entered into Microsoft excel 2009 and analysed
selected college of Ambala. using SPSS 17.0 version. Categorical data are present as
mean (SD) or median based on distribution of data,
MATERIAL AND METHOD statistical analysis was performed by using chi square and
This descriptive survey design is used to assess knowledge for coefficient of correlation categorical variables. P value of
and impact on dysmenorrhea among nursing students. The 0.05 was considered significant
study was conducted at M.M college of nursing, M.M
RESULT
This study was descriptive survey design conducted at selected area of Ambala among the nursing students with a view to
assess the knowledge and impact of dysmenorrhea. A total of 201 nursing students were administered with knowledge
questionnaire and impact rating scale.
1. Age
a. 16-18 Yrs 35 17.4
b. 19-21 Yrs 121 60.2
c. 22-24 Yrs 37 18.4
d. 25-28 Yrs 8 4.0
2. Course of Study
a. B.Sc. Nursing 158 78.6
b. Post Basic B.Sc. Nursing 43 21.4
3. Year of Study
a. 1st Year 76 37.8
b. 2nd Year 71 35.3
c. 3rd Year 54 26.9
4. Weight
a. 35-50 Kg 105 52.2
b. 51-65 Kg 76 37.8
c. 66-80 Kg 20 10.0
5. Education of mother
a. Non literate 11 5.5
b. Primary 54 26.9
c. Secondary 84 41.8
d. Graduate 52 25.9
6. Type of Family
a. Nuclear 150 74.6
b. Joint 51 25.4
@ IJTSRD | Unique Paper ID – IJTSRD33446 | Volume – 4 | Issue – 6 | September-October 2020 Page 1286
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
7. Marital Status
a. Married 10 5.0
b. Unmarried 191 95.0
8. Dietary Habits
a. Vegetarian 134 66.7
b. Non-Vegetarian 50 24.9
c. Eggetarian 17 8.5
9. Residence
a. Hosteller 107 53.2
b. Day Scholar 87 43.3
c. Rent/P.G 7 3.5
10. Age at Menarche
a. <11Years 3 1.5
b. 11-12 Years 37 18.4
c. 13-14 Years 117 58.2
d. >14 Years 44 21.9
11. Duration of Menstruation
a. 1-2 Days 11 5.5
b. 3-4 Days 116 57.7
c. 5-6 Days 74 36.8
12. Source of Information
a. Friends 28 13.9
b. Mother 158 78.6
c. Sibling 11 5.5
d. Other 4 2.0
14. Regularity of Cycle
a. Regular 176 87.6
b. Irregular 25 12.4
14.1 If Irregular in days
a. Twice a Month 6
b. After 40 days 19 24
15. Onset of Dysmenorrhea
a. Before Mensturation 58 28.9
b. With onset of Mensturation 126 62.7
c. After 24 hours of Mensturation 17 8.5
16. Number of soaked pads changed per day
a. < 2 pad 29 14.4
b. 2-3 pads 118 58.7
c. 4-5 pads 47 23.4
d. > 5 Pads 7 3.5
17. Type of pain
a. Continue pain 60 29.9
b. Intermittent pain 104 51.7
c. Radiating pain 37 18.4
18. Level of Pain
a. 2 24 11.9
b. 4 63 31.3
c. 6 62 30.8
d. 8 33 16.4
e. 10 19 9.5
19. Measures you taken to relieve Dysmenorrhea
a. Hot Application 48 23.9
b. Rest 110 54.7
c. Drugs 34 16.9
d. Other 9 4.5
Study result reveals 57.2% were having good knowledge where as 34.8% have very good knowledge and 8% got poor
knowledge regarding dysmenorrheal and its management also the mean knowledge score was 13.76±2.96 along with median
14.
@ IJTSRD | Unique Paper ID – IJTSRD33446 | Volume – 4 | Issue – 6 | September-October 2020 Page 1287
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
good knowledge
very good knowledge
poor knowledge
Figure 2: Area Wise Mean Percentage Score of knowledge Regarding Dysmenorrhea 0f nursing students
Result also shows that in terms of dysmenorrhea among nursing students 116 were mildly affected 83 students were
moderately affected and 2 students were severely affected.
1.0%
@ IJTSRD | Unique Paper ID – IJTSRD33446 | Volume – 4 | Issue – 6 | September-October 2020 Page 1288
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
The mean and standard deviation of impact score of student Level of pain tolerance is different in every individual but
regarding dysmenorrhea were 17.95± 5021 along with dysmenorrheal pain tolerance power has in girls only. It has
median 18. impact on their routine life activities.
@ IJTSRD | Unique Paper ID – IJTSRD33446 | Volume – 4 | Issue – 6 | September-October 2020 Page 1289